Tough Dandruff Problem

PEOPLE'S PHARMACY Joe and Teresa Graedon

August 31, 1993

Dear People's Pharmacy: I am getting desperate about my hair. My wife is constantly brushing at my shoulders, and I have given up wearing dark suits because of dandruff.

I use a medicated shampoo every day but it doesn't solve the problem. What's worse, every time I look at the drain I see more hair collecting. I am worried that so much shampooing will cause more hair to fall out. But I can't afford to let the dandruff get any worse than it already is.

Is there any dandruff shampoo that really works?

Dear Reader: You may be overusing your dandruff shampoo. There are many different kinds of medicated products available over the counter, and switching between them every month or so may produce better results.

Just as important as the shampoo is how you use it. Dandruff shampoos work best if the lather is left on the scalp for three to five minutes instead of rinsing it off immediately.

One of the most effective new treatments for dandruff is the prescription antifungal Nizoral shampoo. But it is expensive. A dermatologist we know suggests an inexpensive homemade alternative. Mix one part 100 percent propylene glycol with four parts of baby shampoo. This mixture should be gentle and effective.

Dear People's Pharmacy: I've been reading about a new migraine medicine. One article said it would be very expensive. Why not Cafergot? It helps me, especially if I take it right at the beginning of the migraine.

Dear Reader: Imitrex (sumatriptan) is a breakthrough against migraines, but it will probably be pricey. Cafergot (ergotamine and caffeine) is a time-tested treatment that does work well for many as long as it is used early enough. An inexpensive generic equivalent of Cafergot is available.